NPI | 1073901237 |
---|---|
Doing Business As | ALTOS PERFORMANCE PSYCHOLOGY |
Entity Type | Organization |
Authorized Contact | SUSAN ANN VARADY President/Licensed Psychologist 719-393-2027 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3702) |
Enumeration Date | 2014-12-22 |
Last Update Date | 2020-11-23 |